慢性失眠的病因与临床诊疗研究进展  

Etiology and Clinical Diagnosis and Treatment of Chronic Insomnia

作　　者：孙芸[1] 张新军[1] Sun Yun;Zhang Xinjun(Tianjin Anding Hospital,Tianjin,30002)

机构地区：[1]天津市安定医院,天津300020

出　　处：《世界睡眠医学杂志》2018年第8期992-996,共5页World Journal of Sleep Medicine

摘　　要：随着现代生活节奏的不断加快,慢性失眠的患病率逐年上升,对人类的健康造成了极大威胁。长期严重失眠会给患者的身体、生活、人际关系和工作带来负面影响,甚至会导致恶性意外事故的发生。慢性失眠通常都是和一些内科疾病、精神疾病以及另外一些睡眠疾病同时出现的,会增加物质滥用风险。目前对于慢性失眠的治疗,临床上主要采用苯二氮艹卓类、非苯二氮艹卓类药物治疗、有些难治性患者临床常见合并有镇静作用的抗抑郁药及抗精神病药治疗,但药物治疗存在不良反应问题,且镇静催眠药会随着使用时间推移产生耐药性,甚至导致药物依赖。认知行为治疗作为一种绿色、有效的治疗手段目前逐渐在临床上受到重视。With the rapid pace of modern life,the prevalence of chronic insomnia is increasing year by year,which poses a great threat to human health. Long-term severe insomnia will bring negative effects to the patientundefineds body,life,interpersonal relationship and work,and even lead to the occurrence of malignant accidents. Chronic insomnia is often associated with medical,mental and other sleep disorders,increasing the risk of substance abuse. At present,the treatment of chronic insomnia is mainly treated with benzodiazepines and non-benzodiazepines. Some refractory patients are often treated with sedative antidepressants and antipsychotics. However,drug therapy has side effects,and sedation and hypnotic drugs can lead to drug resistance and even drug dependence. As a green and effective therapy,cognitive behavioral therapy has been paid more and more attention.

关 键 词：慢性失眠 病因 认知行为疗法 治疗 

分 类 号：R256.23[医药卫生—中医内科学] R338.63[医药卫生—中医学]